Anesthetic management of lower segment cesarean section with postpartum hemorrhage in two patients with tetralogy of Fallot

The Indian Anaesthetists' Forum

关键词: Blalock-Taussig shunt;    congenital heart disease;    lower segment cesarean section;    postpartum hemorrhage;    tetralogy of Fallot;   

DOI  :  10.4103/0973-0311.183577

来源: DOAJ

【 摘 要 】

Pregnant patient with heart disease is a unique challenge to the obstetrician and anesthesiologist, and requires a thorough understanding of the impact of pregnancy on the haemodynamic response in view of existing cardiac lesion. Among the congenital heart diseases causing right to left shunt, Tetralogy of Fallot (TOF) is commonest congenital heart disease. Symptoms of TOF may get worsened during pregnancy and if neglected, it causes significant morbidity and mortality to the patient as well as to fetus. Uncorrecrected TOF parturient posted for LSCS poses an unique challenge to the anesthesiologist. We present 2 case reports of patients of TOF with BT shunt who underwent caesarean section under general anaesthesia. Both the patients had post partum hemorrhage (PPH) which was treated successfully without further complications

【 授权许可】

Unknown